Individual provider Active NPI

Elzona Mae Patterson, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Meade, MD
National Provider Identifier
1063843340
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00452300 Issued in NJ
Practice address
2481 Llewellyn Avenue
Fort Meade, MD 20755
Phone
(301) 677-8749
Fax
(301) 677-8957
NPI assigned
Dec 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X 26NR12203000 NJ
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 26NJ00452300 NJ Primary

Addresses

Primary practice location

2481 Llewellyn Avenue
Fort Meade, MD 20755

Mailing address

2481 Llewellyn Avenue
Fort Meade, MD 20755
Phone (301) 677-8749

Other practice location 1

85 Mt. Mitchell Place
Cameron, NC 28326
Phone (910) 907-6665

Other practice location 2

7718 Ray St
Fort Meade, MD 20755-1041
Phone (609) 510-0339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190514001597 NC Practitioner - Nurse Practitioner 8325381395 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NR12203000NJMDMilitary Hospital
26NJ00452300NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Care Services Inc Single Specialty CurrentSince Jan 26, 2023 Accepting new patients
LLD Laboratories, LLC Single Specialty CurrentSince Mar 1, 2021 Accepting new patients
B & D Integrated Health Services Psychiatric/Mental Health CurrentSince Mar 1, 2021 Accepting new patients
Carolina Outreach, LLC Single Specialty CurrentSince Apr 15, 2019 Accepting new patients
B & D Integrated Health Services Single Specialty CurrentSince Mar 1, 2021 Accepting new patients
Carolina Outreach, LLC CurrentSince Apr 15, 2019 Accepting new patients
Big Dreamers Youth on the Rise PLLC Single Specialty Current Accepting new patients

Locations

249 E NC Highway 54
Ste 310
Durham, NC 27713
Phone (919) 753-1080

249 E NC Highway 54
Ste 320
Durham, NC 27713
Phone (919) 753-1080

2670 Durham Chapel Hill Blvd
Durham, NC 27707
Phone (919) 251-9009

2747 Sunset Ave
#109
Rocky Mount, NC 27804
Phone (252) 902-4099

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1063843340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2481 LLEWELLYN AVENUE",
            "city": "FORT MEADE",
            "state": "MD",
            "postal_code": "20755",
            "telephone_number": "301-677-8749",
            "fax_number": "301-677-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2481 LLEWELLYN AVENUE",
            "city": "FORT MEADE",
            "state": "MD",
            "postal_code": "20755",
            "telephone_number": "301-677-8749",
            "fax_number": "301-677-8957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Mt. Mitchell Place",
            "address_purpose": "LOCATION",
            "city": "Cameron",
            "state": "NC",
            "postal_code": "28326",
            "country_code": "US",
            "telephone_number": "910-907-6665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7718 Ray St",
            "address_purpose": "LOCATION",
            "city": "Fort Meade",
            "state": "MD",
            "postal_code": "207551041",
            "country_code": "US",
            "telephone_number": "609-510-0339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "ELZONA",
        "middle_name": "MAE",
        "name_prefix": "Miss",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "NJ",
            "license": "26NR12203000",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00452300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Meade, MD

Sources for this page

Verify at the official NPI Registry.